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ZETH JUSTIN HOLBERT FNP
NPI 1144743097
Nurse Practitioner in Great Falls, MT

Active since July 24, 2017PECOS Enrolled
1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5000(406) 731-8876 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2020, Jul 24, 2017 (2 updates tracked since 2017).

About Zeth Justin Holbert Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZETH JUSTIN HOLBERT FNP (NPI 1144743097) is an individual nurse practitioner in Great Falls, Montana, licensed in Montana (160693) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1144743097
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameZETH JUSTIN HOLBERTCredential: FNP
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing Address1101 26th St SGreat Falls, MT 59405-5161 · (406) 455-5000 · Fax (406) 731-8876
Phone(406) 455-5000
Fax(406) 731-8876
Sole ProprietorNo
Enumeration DateJuly 24, 2017
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1144743097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MT · 160693
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1101 26TH ST S, Great Falls, MT 59405
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Secondary Practice Location 1

Location 11401 25th St SGreat Falls, MT 59405-5183 · Phone (406) 731-8888 · Fax (406) 731-8876

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zeth Justin Holbert Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Zeth Holbert reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benefis Hospitals, Inc.
Same address
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000
Cmsc, LLC
0.4 mi
General Acute Care Hospital
3010 15TH AVE S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 163 clinicians in this Medicare group
NPI 1639109978 (406) 216-8000
Apogee Medical Group Of Pennsylvania PC
958 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 clinicians in this Medicare group
NPI 1649227166 (602) 778-3600
Tower Health Medical Group
1,811 mi
Addiction Medicine
101 WELLNESS WAY STE 210
Reading, PA 19605
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1093266140 (484) 628-1324
Reading Hospital
1,811 mi
Family Medicine
1220 BROADCASTING RD STE 100
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1285355420 (484) 628-5673
Tri-County Hospitalists, LLC
1,838 mi
Internal Medicine
507 KIMBERTON RD
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 74 clinicians in this Medicare group
NPI 1730518564 (484) 429-2351

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
181 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
79 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMER USMAN MD
Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
EDMUND J BRENNAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MRS. DELENE R LYNES OTA
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5412
SHELBY ELIZABETH DUFOUR PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 771-6300
DANIEL KNUFFKE
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 781-1305
KRISTIN HUNTOON D.O, PHD
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
PATRICK HUGH SMITH FNP-BC
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
DR. SAMANTHA ANNE BASCO PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zeth Holbert's NPI number?

The NPI number for Zeth Holbert is 1144743097. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Zeth Holbert located?

Zeth Holbert practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Zeth Holbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Zeth Holbert enrolled in Medicare?

Yes. Zeth Holbert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Zeth Holbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zeth Holbert reassigns Medicare benefits to 6 organizations: Benefis Hospitals, Inc. (Great Falls, MT), Cmsc, LLC (Great Falls, MT), Apogee Medical Group Of Pennsylvania PC (Scottsdale, AZ), Tower Health Medical Group (Reading, PA), Reading Hospital (Wyomissing, PA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zeth Holbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zeth Holbert accept?

Health plans from Mountain Health CO-OP list Zeth Holbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zeth Holbert was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.